Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

John Childers

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1063036739

John Childers is a Student in an Organized Health Care Education/Training Program in Warren, Michigan. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

11885 E 12 Mile Rd Ste 300A
Warren, MI 48093-3467
Phone: (586) 582-6630
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1063036739
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 29, 2020
Last updated in NPPESMay 29, 2020
Certification dateMay 29, 2020
Mailing address8390 Islandview Ct, Brighton, MI 48114-8789

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